Clinical Standards

Domain Standards Evidence Base

Learning Disabilities

· All tenants to have access to better healthcare

· Reasonable adjustments to be made to maximise outcomes of appointments

· Personalised housing, living environments suitable to meet the needs of the individual

· Person-centered plans, regularly reviewed, with meaningful outcomes and achievable goals

· Consideration of employment (paid or voluntary)

· Promotion of community access and inclusion within the local community – daily/weekly activity planners

· Support to manage activities of daily living, with opportunities for teaching skills and increasing independence

· Department of Health (2001) ‘Valuing People. A New Strategy for Learning Disabilities for the 21st Century’

· Challenging Behaviour National Strategy Group (2019) ‘The Challenging Behaviour Charter’

· National Institute for Clinical Excellence (2018) ‘Learning disabilities and Behaviour that challenges: service design and delivery’

· British Institute for Learning Disabilities

· Human Rights Act (1998)

Autism

· Communication – A personalised communication passport/guidelines to be in place for every tenant, with specific strategies and consistent way of communicating.

· Flexibility of thought – Support to foster decision making, choices, making changes, problem solving, autonomy. Include use of language (link to communication plan) and awareness of processing time by staff

· Social Understanding – Support to foster appropriate social interactions, social experiences and opportunities, strategies to support learning.

· Sensory – Support in relation to specific sensory issues, linked where relevant to sensory assessment.  Include special equipment, use of sensory facilities, maintenance of low stimulus environment etc. dependent on the needs of the person.

· National Autistic Society (2018) Good Practice Guides

· National Institute for Clinical Excellence (2016) Behaviour that Challenges in Adults with Autistic Spectrum Disorder (CG142)

Positive Behaviour Support

· All tenants to have an up to date and regularly reviewed PBS plan

· All staff to complete online PBS training

· All staff to attend PROACT-SCIP 2-day foundation course

· All tenants will have up to date, regularly reviewed risk assessments

· Support provided by qualified PBS Practitioners and assistants. All are nationally accredited by BTEC and awarded by NHS Wales. All are mapped against the UK Qualification Credit Framework.

· Royal College of Psychiatrists (2016) Challenging Behaviour, a Unified Approach.

· Challenging Behaviour National Strategy Group (2019) Challenging Behaviour Charter

· Restraint Reduction Network (2019) Raising the Standard: Ethical Training Standards to protect Human Rights and Minimise Restrictive Practice’

· NHS Wales (2018) BTEC E-learning Qualifications in Positive Behavioural Support

Physical Health

· All tenants to have a health action plan

· All tenants to receive their annual health check

· All tenants to have a hospital passport

· Health audits

· Department of Health (2001) ‘Valuing People. A New Strategy for Learning Disabilities for the 21st Century’

· Mencap (2007) Death by Indifference – Following up the Treat me Right Report

Medication Management

· All staff to complete on-line medication training

· All staff to complete in-house classroom training

· All tenants to have medication profiles and PRN profiles (if required)

· All services will complete a weekly medication audit

· National Institute for Clinical Excellence (2015) ‘Medicine Management in Care Homes’ (QS85)

· Epilepsy Nurse Association (2019) Best Practice Guidelines for Training

· Professional Carers in the Administration of Buccal (oromucosal) Midazolam for the Treatment of Prolonged and/or Clusters of Epileptic Seizures in the Community

Skilled Workforce

· Skilled staff that are trained to provide specialist, safe support and good leadership

· All staff will complete mandatory e-learning training (including first aid, epilepsy, fire training, moving and handling, safeguarding).

· Staff will also receive additional classroom training facilitated by our own staff, as part of their initial induction, which includes;

· Medication management, administration of buccal midazolam and auto-injector pens

· PROACT-SCIP 2-day foundation training

· PBS awareness

· Autism awareness

· National Institute for Clinical Excellence (2018) ‘Learning disabilities and Behaviour that challenges: service design and delivery’

Coronavirus Notice

We understand that families, friends and carers are concerned to understand what we are doing to cope with COVID-19 and how we are keeping our clients safe and well.

As we receive advice and guidelines from the Government, our contingency planning is updated accordingly, in line with our existing risk assessments.

Information and our updates are located here.